Abstract.
The clinical aspects of peritonitis and catheter infections were reviewed in 64 children on continuous ambulatory peritoneal dialysis living in Saudi Arabia over a period of 6 years. Peritonitis occurred in 41 children (64%). The mean time from starting dialysis to the first episode of peritonitis was 7.2 months. The incidence of peritonitis was 1 episode in 9 treatment months. Gram-negative organisms were responsible for the majority of episodes (42%), followed by Gram-positive organisms (20%), and Candida albicans (6%); 32% were culture negative. Recurrent peritonitis was present in 20 cases. Catheter was replaced in 24 patients: 44% due to recurrent peritonitis. Peritoneal membrane loss occurred in 7 patients, 3 had Candida peritonitis and 3 had recurrent peritonitis due to Pseudomonas. The mortality rate was 4.6% but none of the deaths were related to peritonitis or dialysis.
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Received August 23, 1995; received in revised form October 2, 1996; accepted October 18, 1996
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Mirza, K., Elzouki, A. Peritonitis in continuous ambulatory peritoneal dialysis in children living in Saudi Arabia. Pediatr Nephrol 11, 325–327 (1997). https://doi.org/10.1007/s004670050286
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DOI: https://doi.org/10.1007/s004670050286